Interdisciplinary Medicine & The Pt Centered Medical Home Flashcards
Interdisciplinary team
a group of healthcare professionals from diverse fields who work in a coordinated fashion toward a common goal for the patient
intraprofessional team
a team of professionals who are all from the same profession or discipline
multidisciplinary team
a team of professionals who coordinate the contributions of each discipline, which are not considered to overlap, in order to improve patient care
transdisciplinary team
a team of members of a number of different disciplines coordinating across disciplines to improve patient care through research.
what do practitioners in an interdisciplinary team have in common?
common patient population, common patient care goals, have responsibility for complementary tasks
independent medical management approach
practitioner works autonomously with limited input from other providers
T/F: in a multidisciplinary care approach, various healthcare professionals work independently. each is responsible for a different patient care need
true
consultative approach
one practitioner has central responsibility but consults with others as needed
why do we need interdisciplinary care?
- aging population w complex diseases
- increase complexity of skills required
- increasing specialization leads to fragmentation of knowledge
- continuity of care
- quality improvement
what are the 3 essential components of interdisciplinary care?
coordination, communication, shared responsibility
what do outpatient care managers do?
coordinate care of patients at PCP
improve efficiency and continuity of care
enhances access to care with PCP/specialists
f/u on discharge instructions to ensure understanding
make d/c f/u phone calls to patients
what is PCMH?
a team of people embedded in the community who seek to improve the health and healing of people in that community
what are the goals of PCMH
optimizing fundamental attributes of primary care
creating new ideas about organizing practice
changing the larger health care/reimbursement systems
“PCMH aims to personalize, prioritize, and integrate care to improve the health of whole people, families, communities, and populations” — all by increasing the value of healthcare
why should we use PCMH?
better quality healthcare, lower cost services, less inequality in healthcare, and better population health overall.
there are a few joint principles…
personal physician, physician directed medical practice, whole person orientation, care is coordinated and/or integrated, quality and safety, enhanced access, payment
